UM Administration Coordinator

UM Administration Coordinator

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a UM Administration Coordinator based in United States.

This remote position supports utilization management operations that help members access appropriate care and services. You'll provide essential non-clinical administrative support while following established healthcare processes and quality standards. The role combines documentation, coordination, data entry, customer support, and operational follow-through. You'll work closely with internal teams to keep workflows accurate, timely, and compliant. The position is well suited to someone who is highly organized, detail-oriented, and comfortable working across multiple systems.

You'll operate within clearly defined processes, with opportunities to contribute to efficient and positive member experiences. The role is full-time, remote nationwide, with occasional travel for training or meetings when needed.

• Support utilization management policies, procedures, and day-to-day operational activities.
• Provide non-clinical administrative support to help facilitate appropriate member care and services.
• Complete administrative, clerical, operational, and customer-support tasks accurately and according to established guidelines.
• Maintain accurate records, documentation, and information across relevant systems.
• Manage assigned workloads and prioritize competing tasks to meet productivity, quality, and timeliness expectations.
• Collaborate with internal teams to support departmental and operational objectives.
• Identify and escalate issues that fall outside established processes or guidelines.
• Follow departmental policies, compliance requirements, quality standards, and performance expectations.
• Work effectively within defined processes and under appropriate supervision.

• Previous administrative, technical support, or comparable operational experience.
• Strong verbal and written communication skills, with excellent attention to detail.
• Strong typing, computer navigation, and digital literacy skills.
• Ability to manage multiple priorities and work simultaneously across several computer applications.
• Customer service or contact center experience, particularly involving telephone-based support, is preferred.
• Healthcare experience is preferred, along with familiarity with electronic medical records and documentation systems.
• High school diploma is preferred.
• Knowledge of medical terminology and/or ICD-10 codes is a plus.
• Experience with utilization review or prior authorization, particularly within a managed care environment, is preferred.
• Previous experience working remotely or in a work-from-home environment is beneficial.
• Ability to work independently within established procedures while escalating exceptions appropriately.
• A reliable home working environment with a dedicated workspace and internet service providing at least 25 Mbps download and 10 Mbps upload speeds is required. Wireless, wired cable, or DSL connections are suggested; alternative connection types may require approval.

• Full-time schedule of approximately 40 hours per week.
• Remote work opportunity available nationwide in the United States.
• Estimated annual base salary of $39,000–$49,400, depending on location, skills, experience, education, certifications, and other job-related factors.
• Medical, dental, and vision coverage.
• 401(k) retirement savings plan.
• Paid time off, company and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability coverage.
• Life insurance and additional employee benefits supporting personal and family well-being.
• Company-provided telephone equipment appropriate for business requirements.
• Internet expense support may be available for eligible employees working from home in certain states.
• Occasional travel may be required for training or meetings.
• A structured work environment with established processes, quality standards, and operational support.